Mesoglycan: Clinical Evidences for Use in Vascular Diseases

Vascular glycosaminoglycans (GAG) are essential components of the endothelium and vessel wall and have been shown to be involved in several biologic functions. Mesoglycan, a natural GAG preparation, is a polysaccharide complex rich in sulphur radicals with strong negative electric charge. It is extr...

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Main Authors: Antonella Tufano, Claudia Arturo, Ernesto Cimino, Matteo Nicola Dario Di Minno, Mirko Di Capua, Anna Maria Cerbone, Giovanni Di Minno
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:International Journal of Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2010/390643
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author Antonella Tufano
Claudia Arturo
Ernesto Cimino
Matteo Nicola Dario Di Minno
Mirko Di Capua
Anna Maria Cerbone
Giovanni Di Minno
author_facet Antonella Tufano
Claudia Arturo
Ernesto Cimino
Matteo Nicola Dario Di Minno
Mirko Di Capua
Anna Maria Cerbone
Giovanni Di Minno
author_sort Antonella Tufano
collection DOAJ
description Vascular glycosaminoglycans (GAG) are essential components of the endothelium and vessel wall and have been shown to be involved in several biologic functions. Mesoglycan, a natural GAG preparation, is a polysaccharide complex rich in sulphur radicals with strong negative electric charge. It is extracted from porcine intestinal mucosa and is composed of heparan sulfate, dermatan sulfate, electrophoretically slow-moving heparin, and variable and minimal quantities of chondroitin sulfate. Data on antithrombotic and profibrinolytic activities of the drug show that mesoglycan, although not indicated in the treatment of acute arterial or venous thrombosis because of the low antithrombotic effect, may be useful in the management of vascular diseases, when combined with antithrombotics in the case of disease of cerebral vasculature, and with antithrombotics and vasodilator drugs in the case of chronic peripheral arterial disease. The protective effect of mesoglycan in patients with venous thrombosis and the absence of side effects, support the use of GAG in patients with chronic venous insufficiency and persistent venous ulcers, in association with compression therapy (zinc bandages, multiple layer bandages, etc.), elastic compression stockings, and local care, and in the prevention of recurrences in patients with previous DVT following the standard course of oral anticoagulation treatment.
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publishDate 2010-01-01
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series International Journal of Vascular Medicine
spelling doaj-art-066fca5db1e84f8fb0bf73bb8fa865252025-02-03T01:26:43ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322010-01-01201010.1155/2010/390643390643Mesoglycan: Clinical Evidences for Use in Vascular DiseasesAntonella Tufano0Claudia Arturo1Ernesto Cimino2Matteo Nicola Dario Di Minno3Mirko Di Capua4Anna Maria Cerbone5Giovanni Di Minno6Regional Reference Centre for Coagulation Disorders, Department of Clinical and Experimental Medicine, AOU “Federico II” Naples 80131, ItalyRegional Reference Centre for Coagulation Disorders, Department of Clinical and Experimental Medicine, AOU “Federico II” Naples 80131, ItalyRegional Reference Centre for Coagulation Disorders, Department of Clinical and Experimental Medicine, AOU “Federico II” Naples 80131, ItalyRegional Reference Centre for Coagulation Disorders, Department of Clinical and Experimental Medicine, AOU “Federico II” Naples 80131, ItalyRegional Reference Centre for Coagulation Disorders, Department of Clinical and Experimental Medicine, AOU “Federico II” Naples 80131, ItalyRegional Reference Centre for Coagulation Disorders, Department of Clinical and Experimental Medicine, AOU “Federico II” Naples 80131, ItalyRegional Reference Centre for Coagulation Disorders, Department of Clinical and Experimental Medicine, AOU “Federico II” Naples 80131, ItalyVascular glycosaminoglycans (GAG) are essential components of the endothelium and vessel wall and have been shown to be involved in several biologic functions. Mesoglycan, a natural GAG preparation, is a polysaccharide complex rich in sulphur radicals with strong negative electric charge. It is extracted from porcine intestinal mucosa and is composed of heparan sulfate, dermatan sulfate, electrophoretically slow-moving heparin, and variable and minimal quantities of chondroitin sulfate. Data on antithrombotic and profibrinolytic activities of the drug show that mesoglycan, although not indicated in the treatment of acute arterial or venous thrombosis because of the low antithrombotic effect, may be useful in the management of vascular diseases, when combined with antithrombotics in the case of disease of cerebral vasculature, and with antithrombotics and vasodilator drugs in the case of chronic peripheral arterial disease. The protective effect of mesoglycan in patients with venous thrombosis and the absence of side effects, support the use of GAG in patients with chronic venous insufficiency and persistent venous ulcers, in association with compression therapy (zinc bandages, multiple layer bandages, etc.), elastic compression stockings, and local care, and in the prevention of recurrences in patients with previous DVT following the standard course of oral anticoagulation treatment.http://dx.doi.org/10.1155/2010/390643
spellingShingle Antonella Tufano
Claudia Arturo
Ernesto Cimino
Matteo Nicola Dario Di Minno
Mirko Di Capua
Anna Maria Cerbone
Giovanni Di Minno
Mesoglycan: Clinical Evidences for Use in Vascular Diseases
International Journal of Vascular Medicine
title Mesoglycan: Clinical Evidences for Use in Vascular Diseases
title_full Mesoglycan: Clinical Evidences for Use in Vascular Diseases
title_fullStr Mesoglycan: Clinical Evidences for Use in Vascular Diseases
title_full_unstemmed Mesoglycan: Clinical Evidences for Use in Vascular Diseases
title_short Mesoglycan: Clinical Evidences for Use in Vascular Diseases
title_sort mesoglycan clinical evidences for use in vascular diseases
url http://dx.doi.org/10.1155/2010/390643
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